scholarly journals P55 Low income parents’ perspectives and experiences of engaging with early years health professionals about financial challenges and income maximisation

Author(s):  
Flora Douglas ◽  
Emma MacIver ◽  
Tracy Davis
2021 ◽  
Vol 42 (4) ◽  
pp. 901-907
Author(s):  
Laura J. Samuel ◽  
Rebecca Wright ◽  
Marianne Granbom ◽  
Janiece L. Taylor ◽  
Ciara Hupp ◽  
...  

2004 ◽  
Vol 19 (1) ◽  
pp. 90-96 ◽  
Author(s):  
Derrick Silove

AbstractThe majority of refugees and communities exposed to warfare and oppression live in low-income countries with few resources or special skills. Yet, epidemiological studies have identified high levels of traumatic stress reactions in such populations. These stress reactions can be intensified by harsh policies aimed at deterring survivors from seeking refuge in technologically advanced societies. The scale of the problem of mass violence and displacement creates formidable challenges for mental health professionals in their efforts to develop practical frameworks for responding to the extensive needs of displaced persons. In this article, a model is proposed for low-income, post-conflict countries, based on a two-tiered formulation. At the eco-social level, mental health professionals can play a supportive, but not a lead, role in facilitating recovery of core adaptive systems that hasten natural recovery from stress for the majority of the population. Where small-scale, community mental health services are established, the emphasis should be on assisting persons and their families who are at greatest survival and adaptive risk. Training and promotion of local workers to assume leadership in such programs are essential. In technologically advanced societies in which refugees are in a minority, torture and trauma services can focus more specifically on traumatic stress reactions, acculturation, and resettlement. In a historical epoch in which displaced persons are facing particularly harsh treatment, there is a pressing need for consensus amongst mental health professionals in advocating for their needs.


2017 ◽  
Vol 70 (4) ◽  
pp. 875-884 ◽  
Author(s):  
Renata Evangelista Tavares ◽  
Maria Cristina Pinto de Jesus ◽  
Samara Macedo Cordeiro ◽  
Daniel Rodrigues Machado ◽  
Vanessa Augusta Braga ◽  
...  

ABSTRACT Objective: to identify the knowledge produced on the health of low-income older women. Method: an integrative review was conducted in February 2016 on the SCOPUS, CINAHL, MEDLINE, LILACS, EMBASE, WEB OF SCIENCE databases, and in the SciELO journals directory. After the application of inclusion and exclusion criteria, 24 articles were selected. Results: the knowledge produced comprises two main themes: "health in face of economic adversities" and "reciprocity in social support between low-income older women and their social network". Final considerations: health professionals, especially nurses, should be attentive to aspects related to social determinants and the health of low-income older women, highlighting the fact that they are not always the recipients of care.


2020 ◽  
Vol 32 (1) ◽  
pp. 1-7 ◽  
Author(s):  
Catherine Draper ◽  
Simone A Tomaz ◽  
Caylee J Cook ◽  
Sasha S Jugdav ◽  
Candice Ramsammy ◽  
...  

Background: The International Study of Movement Behaviours in the Early Years, SUNRISE, was initiated to assess the extent to which young children meet movement behaviour guidelines (physical activity, sedentary behaviour, screen time, sleep). Objective: The South African SUNRISE pilot study assessed movement behaviours in preschool children from two low-income settings, and associations between these movement behaviours, adiposity, motor skills and executive function (EF). Methods: Preschool child/parent pairs (n = 89) were recruited from preschools in urban Soweto and rural Sweetwaters. Height and weight were measured to assess adiposity. Physical activity was assessed using accelerometers while sedentary behaviour, screen time and sleep were assessed via parent report. Fine and gross motor development were measured using the Ages and Stages Questionnaire-3, and EF was assessed using the Early Years Toolbox. Results: The proportion of children meeting the physical activity guideline was 84% , 66% met the sleep guideline ,48% met the screen time guideline , and 26% met all three guidelines. Rural children were more active, but spent more time on screens compared to urban children. Most children were on track for gross (96%) and fine motor (73%) development, and mean EF scores were in the expected range for all EF measures. EF was negatively associated with screen time, and gross motor skills were positively associated with physical activity. Conclusion: The South African SUNRISE study contributes to the growing literature on 24-hour movement behaviours in SA preschool children, and highlights that these behaviours require attention in this age group.


2019 ◽  
Author(s):  
◽  
Jeremy B. Kanter

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] Change in marital satisfaction is a salient research topic for social scientists, especially given the association between marital functioning and adult and child well-being. Scholars have begun to recognize a decline in marital satisfaction is avoidable for the majority of couples, and recent work has demonstrated the antecedents and outcomes associated with different marital experiences. However, most work has used White, middle-class couples. Thus, it is unclear if these patterns replicate for socioeconomically disadvantaged populations, what resources are associated with different relational pathways, and if relationship functioning is associated with psychological functioning. Using three waves of data from a sample of low-income newlywed couples in the Supporting Healthy Marriages project, I identified three classes of couples. The majority of spouses reported stable, high relationship functioning during the early years of marriage. Gender differences emerged, with husbands reporting more stable marital functioning than wives. Guided by the Vulnerability-Stress-Adaptation model, I also found individual (family-of-origin experiences), dyadic (e.g., perceptions of support), and structural (e.g., neighborhood safety) factors were associated with different marital experiences. Last, I found that change in marital satisfaction was influential to change in psychological distress. These results advance scholarship on the inequalities and resilience factors prevalent in low-income populations.


2016 ◽  
Vol 41 (2) ◽  
pp. 265-274 ◽  
Author(s):  
Danielle Kingdon ◽  
Lisa A. Serbin ◽  
Dale M. Stack

Internationally, girls outperform boys in overall school performance. The gender gap is particularly large among those in at-risk groups, such as children from families at economic disadvantage. This study modeled the academic trajectories of a low-income sample of boys and girls from the Concordia Longitudinal Risk Project across the full course of schooling. Results from a multiple-group latent growth curve analysis revealed that children from this low-income sample demonstrated a significant decreasing trajectory of academic performance over time, which intensified after the transition from elementary to secondary schooling. A gender gap in academic performance emerged after the children transitioned to secondary school, with girls outperforming boys. Boys continued to experience greater academic decline than did girls across the secondary school years, and individual and family characteristics assessed in early elementary school predicted these academic trajectories. At school entry, boys showed higher levels of attention problems than did girls, which in turn predicted boys’ poorer school performance. However, boys with stronger reading skills and greater maternal school involvement during the early years of schooling were protected against declining academic performance across the secondary school years. Implications for prevention programs are discussed.


2019 ◽  
Vol 43 (1) ◽  
pp. 91-111
Author(s):  
Mohamad Sedighi ◽  
Dick van Gameren

This article discusses the transformation of the traditional Iranian courtyard house type and neighbourhood structure in the early 20th century Iran, and focuses on the design of public housing in the country’s early years of modernisation, after the second World War. It explores how (urban) legislations by Iranian reformists and modernists, and the compulsory unveiling law implemented between 1936 and 1943 contributed to change the image of urban areas and the everyday life of Iranians, particularly in Tehran. While this article provides a short overview of these transformations, it discusses how Iranian architects, educated in Europe, attempted to reconceptualise the ideal form of living, the courtyard-garden house (Khaneh-Bagh), for large-scale housing production, in the country. This article shows how the transformation of this house type became an instrument of accommodating both change and resistance in terms of local customs and habits, in Kuy-e Chaharsad-Dastgah, built between 1946 and 1950 in Tehran. To illustrate these, the design and development of this experimental housing project is analysed in details. It is also demonstrated how this project was developed based on a “planning document” revised by a group of modernist Iranian architects, who intended to improve the hygiene condition of living environments and to accommodate a large number of low-income civil servants in post-World War II, Tehran. It is argued that dual characteristics of the Iranian courtyard house allowed for both incorporating imported models, and simultaneously resisting universalising tendencies towards homogenisation, in the case of Chaharsad-Dastgah.


1982 ◽  
Vol 6 (06) ◽  
pp. 102-104 ◽  
Author(s):  
N. N. Wig

The progress of psychiatry in India during the last 35 years is indeed impressive. At the time of Independence in 1947, there were just a handful of Indian psychiatrists looking after some 20 odd mental hospitals scattered throughout the country. Colonel M. Taylor (1946), who reviewed the status of mental health services for the Bhore Committee on Health Survey Development in India, ruefully noted the gross inadequacy of mental health services. A major recommendation of the Committee (1946) was to start local training facilities for doctors and other health professionals in the field of mental health. The first landmark was the opening of the All India Institute of Mental Health at Bangalore in 1954. The role of Dr Mayer-Gross, who was closely associated with the development of this Institute in its early years, will be long remembered by many Indian psychiatrists.


2018 ◽  
Author(s):  
Jessica K Jensen ◽  
Jody D Ciolino ◽  
Alicia Diebold ◽  
Melissa Segovia ◽  
Aria Degillio ◽  
...  

BACKGROUND Postpartum depression is highly prevalent in low-income women and has significant health and mental health effects on mother and child. Home visiting (HV) programs provide services to large numbers of perinatal women in the United States and are a logical setting for delivering mental health services. Although there are interventions that reduce the risk of developing postpartum depression among low-income women, none have used nonhealth or nonmental health professionals as interventionists. OBJECTIVE This study aimed to outline the protocol of a cluster randomized trial funded by the Patient-Centered Outcomes Research Institute that evaluates whether the Mothers and Babies (MB) group intervention, when led by paraprofessional home visitors, is more efficacious than usual care. It will also examine if MB, when led by home visitors, is not inferior to MB delivered by mental health professionals (MHPs). MB has previously demonstrated efficacy when delivered by MHPs, and pilot work indicated promising results using home visitors to deliver the intervention. METHODS A cluster randomized trial is being conducted with 38 HV programs. Sixteen HV programs will deliver MB using MHPs, 16 will deliver MB using paraprofessional home visitors, and 6 will deliver usual HV services. The study employs a modified covariate-constrained randomization design at the site level. We anticipate recruiting 933 women aged ≥16 years enrolled in HV programs, who are 33 or more weeks’ gestation and speak either English or Spanish. Women in the 2 intervention arms will receive the 6-session MB group intervention. Baseline, postintervention, 12-week postpartum, and 24-week postpartum assessments will be conducted to assess client outcomes. The primary outcome will be the change in Quick Inventory of Depressive Symptomatology Self-Report 16 scores from baseline to 24-week follow-up. Secondary outcomes associated with core MB content will also be examined. Semistructured interviews will be conducted with home visitors and MHPs who are group facilitators and 90 study participants to gain data on intervention successes and challenges. Analyses will proceed at the participant level. Primary analyses for depressive symptoms score at 24 weeks postpartum will involve a linear mixed model, controlling for baseline symptoms and other covariates, and random effects to account for clustering. RESULTS We have recruited 838 women through the end of August 2018. Recruitment will be completed at the end of September 2018. CONCLUSIONS There is considerable potential to disseminate MB to HV programs throughout the United States. Should our results demonstrate home visitor efficacy when compared with usual care and/ noninferiority between home visitors and MHPs in improving mental health outcomes, no additional financial resources would be required for the existing HV staff to implement MB. Should this study determine that home visitors are less effective than MHPs, we will generate more wide-scale evidence on MB effectiveness when led by MHPs. CLINICALTRIAL ClinicalTrials.gov NCT02979444; https://clinicaltrials.gov/ct2/show/NCT02979444 (Archived by Webcite at http://www.webcitation.org/archive.php) INTERNATIONAL REGISTERED REPOR PRR1-10.2196/11624


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